Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14385DMPNPOP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	2	2	5	$20.17	$21.62	$25.07
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $7.70B	2	2	5	$27.87	$21.62	$32.77

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
14420YMPNPOP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	6	6	5	$48.81	$31.60	$31.60
	Available brands
	Viscotears Gel PF

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5503POP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$16.81	$18.26	$21.71
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.66	$18.26	$25.56

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5504QOP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	3	3	5	$31.14	$31.60	$31.60
	Available brands
	Viscotears Gel PF

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8384GMPNP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	5	$16.81	$18.26	$21.71
	Available brands
	Optifresh eye gela
	PAAa
	Viscotearsa * Additional charge for this brand is $3.85B	1	1	5	$20.66	$18.26	$25.56

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Authority Required (STREAMLINED)

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
8578LMPNP	CARBOMER-980 carbomer-980 0.2% eye drops, 30 x 600 mg ampoules (PI, CMI)	3	3	5	$31.14	$31.60	$31.60
	Available brands
	Viscotears Gel PF

Source	General Schedule
Body System	SENSORY ORGANS > OPHTHALMOLOGICALS > OTHER OPHTHALMOLOGICALS

Note

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
9210RMP	CARBOMER-980 carbomer-980 0.2% eye gel, 10 g (PI, CMI)	1	1	11	$16.81	$18.26	$21.71
	Available brands
	Optifresh eye gel SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya
	PAA SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya
	Viscotears SO Products that are in a Supply Only state will be available for dispensing, but not for prescribing. PBS Prescriptions written prior to the Supply Only period are able to be dispensed using either the Supply Only product where available, or an equivalent product as specified on the PBS schedule. Supply onlya * Additional charge for this brand is $3.85B	1	1	11	$20.66	$18.26	$21.71